CHIMEREA DE'SHAY PORTER

CLEVELAND, OH
NPI1790282085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2018-04-12
Last Update Date2018-04-12
Business Address
CHIMEREA DE'SHAY PORTER
16212 KOLLIN AVE
CLEVELAND, OH 44128-3808
Phone number: 216-456-1530
Mailing Address
CHIMEREA DE'SHAY PORTER
16212 KOLLIN AVE
CLEVELAND, OH 44128-3808
Phone number: 216-456-1530
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